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The video discusses the primary reason individuals set up retirement plans: tax deductions. It emphasizes that these deductions can provide significant savings, often around 40%. The speaker shares his experience, having worked with physician clients over the past 10-15 years who seek ways to reduce their tax liabilities as they earn substantial incomes. While various options exist, such as solo 401k plans, the speaker believes these are often temporary solutions, offering limited deductions. In contrast, he highlights defined benefit plans as the superior choice for maximizing tax deductions, providing a substantial benefit in a single year.